*Select preferred date and time of schedule. *Select preferred date of schedule*Preferred date and time are subject to availability.

I accept the

Security

By agreeing to these terms and conditions, you accept and consent to your personal data being provided to the Service for the sole purpose of requesting for Letter of Authorization (LOA). The MediCard Online LOA respects the privacy of every individual who use this facility and MediCard website contains security measures in place to protect the loss, misuse and alteration of the information under MediCard’s control.

Facility

Your requested schedule, specifically, date and time are subject to availability. Notwithstanding any request confirmation, the schedule for a doctor or laboratory/diagnostic services may be subject to change without prior notification.

Confidentiality

MediCard will not sell, share, or rent your personal information to any third party or use your e-mail address for unsolicited mail. Any emails sent by MediCard will only be in connection with the provision of agreed services and products.

Disclaimer

This site was created to provide convenience to MediCard clients. The use of this site should not be deemed to create a patient-doctor relationship nor should the information contained herein be considered as diagnosis or medical advice. MediCard has no liability for any loss, injury, or damages due to your reliance on the contents of this site.
While MediCard is regularly updating the contents of this site to make sure that the information herein is accurate, MediCard cannot guarantee the completeness, accuracy or timeliness of the information due to its swift changes.

Amendment

MediCard reserves the right, at its sole discretion, to modify or replace these Terms at any time. What constitutes a material change will be determined at MediCard’s sole discretion. By continuing to access or use MediCard’s service after those revisions become effective, you agree to be bound by the revised terms. If you have any questions about these Terms, please contact us at 884-9999.

The patient or his/her authorized representative hereby consents (if patient cannot sign) to the processing and disclosure of the patient’s information by MediCard, its representatives, and its accredited healthcare providers which is necessary for the assessment of the patient’s coverage and the fulfillment of its obligations as health maintenance organization (HMO) services, including treatment of illness. Consent is also given to share utilization data with the Principal Member’s Company (for corporate health insurance) for the proper administration of its health benefits program.

Withholding or withdrawal of such Consent shall relieve us from our obligation to deliver the appropriate services to the patient.

The undersigned declares that he has full authority to sign and further acknowledges that the patient is afforded with certain rights and protection in accordance with Republic Act 10173 also known as the Data Privacy Act of 2012 and that he may visit www.medicardphils.com/privacy or email privacy@medicardphils.com for more information.

By ticking the box, we will consider that you agree to give your Consent to us.